Demographic and socioeconomic characteristics of tuberculosis mortality in San Cristóbal de Las Casas, Chiapas, Mexico 1997-2009

José Alejandro Meza Palmeros, Héctor Javier Sánchez Pérez, Graciela Freyermuth Enciso, Georgina Sánchez Ramírez

Abstract


Objective: To analyze the demographic and socio-economic characteristics of deceased tuberculosis patients.

Subjects: Individuals who died between 1997 and 2009 in San Cristóbal de Las Casas (San Cristóbal), Chiapas, Mexico and had previously been registered as tuberculosis patients.
Methods: All reports and death certificates from the San Cristóbal civil registry were reviewed. We identified and analyzed cases in which the cause of death was listed as tuberculosis (n=79). Socio-economic data was taken from the death certificate. To analyze the degree of social marginalization, addresses of decedents were geo-coded by Basic Geostatistical Area (BGA).

Results: Most patients dying of tuberculosis had one or more of the following characteristics: 1) they lived in an BGA with high or very high levels of social marginalization, 2) they had low educational attainment; 3) they were peasants, migrants, or housewives, and/or 4) they were not covered by so-cial security.

Conclusion: Most patients dying of tuberculosis are socially vulnerable. In order to prevent further mor-tality from tuberculosis in the suburbs of San Cristóbal, TB detection and treatment programs must be significantly strengthened amongst marginalized groups.

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Editorial Offices:

Department of Family and Social Medicine
Albert Einstein College of Medicine/Montefiore Medical Center
Bronx, New York, 10461

Asociación Latinoamericana de Medicina Social (ALAMES)/Latin American Social Medicine Association:
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ALAMES, Mexico Region, San Jerónimo 70 – 1, Col. La Otra Banda, CP 01090, México, D.F.